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Assessment of radiation dose awareness among pediatricians

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Abstract

Background

There is increasing awareness among pediatric radiologists of the potential risks associated with ionizing radiation in medical imaging. However, it is not known whether there has been a corresponding increase in awareness among pediatricians.

Objective

To establish the level of awareness among pediatricians of the recent publicity on radiation risks in children, knowledge of the relative doses of radiological investigations, current practice regarding parent/patient discussions, and the sources of educational input.

Materials and methods

Multiple-choice survey.

Results

Of 220 respondents, 105 (48%) were aware of the 2001 American Journal of Roentgenology articles on pediatric CT and radiation, though only 6% were correct in their estimate of the quoted lifetime excess cancer risk associated with radiation doses equivalent to pediatric CT. A sustained or transient increase in parent questioning regarding radiation doses had been noticed by 31%. When estimating the effective doses of various pediatric radiological investigations in chest radiograph (CXR) equivalents, 87% of all responses (and 94% of CT estimates) were underestimates. Only 15% of respondents were familiar with the ALARA principle. Only 14% of pediatricians recalled any relevant formal teaching during their specialty training. The survey response rate was 40%.

Conclusion

Awareness of radiation protection issues among pediatricians is generally low, with widespread underestimation of relative doses and risks.

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Acknowledgement

We thank the technical staff of the Department of Diagnostic Imaging at the Hospital for Sick Children for their help and support of this project.

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Authors and Affiliations

  1. Department of Diagnostic Imaging, The Hospital for Sick Children, 555 University Ave., Toronto, Ontario, M5G 1X8, Canada

    Karen E. Thomas, June E. Parnell-Parmley, Ellen Charkot, Guila BenDavid & Connie Krajewski

  2. Department of Radiology, Mubarak Al-Kabeer Hospital, Salmiya, Kuwait

    Salwa Haidar

  3. Department of Family and Community Medicine, University of Toronto, Toronto, Canada

    Rahim Moineddin

Authors
  1. Karen E. Thomas
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  2. June E. Parnell-Parmley
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  3. Salwa Haidar
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  4. Rahim Moineddin
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  5. Ellen Charkot
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  6. Guila BenDavid
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  7. Connie Krajewski
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Correspondence to Karen E. Thomas.

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Thomas, K.E., Parnell-Parmley, J.E., Haidar, S. et al. Assessment of radiation dose awareness among pediatricians. Pediatr Radiol 36, 823–832 (2006). https://doi.org/10.1007/s00247-006-0170-x

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  • DOI: https://doi.org/10.1007/s00247-006-0170-x

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